Jordan J Allensworth
Otolaryngology in Vancouver, Washington
1912347675- Practice location
- 417 SE 164TH Ave Ste 300, Vancouver, WA 98684-8944
- Phone
- 360-256-4425
- Fax
- 360-256-2474
- Last updated
- July 16, 2021
Jordan James Allensworth is an Otolaryngology based in Vancouver, WA. Jordan James Allensworth practices in Vancouver, WA. The NPI Number for Jordan James Allensworth is 1912347675 and holds a License No. MD61144936 (WA). The current practice location address for Jordan James Allensworth is 417 SE 164TH Ave Ste 300, Vancouver, WA 98684-8944 and can be reached out via phone at 360-256-4425 and via fax at 360-256-2474.
Provider Profile Details
- NPI Number
- 1912347675
- Provider Name
- Jordan James Allensworth
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 417 SE 164TH Ave Ste 300, Vancouver, WA 98684-8944
- Phone Number
- 360-256-4425
- Fax Number
- 360-256-2474
- Primary Taxonomy
- Otolaryngology · 207Y00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 26, 2013
- Last Update Date
- July 16, 2021
- Certification Date
- July 16, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 417 SE 164TH Ave Ste 300
Vancouver, WA 98684-8944 - City
- Vancouver
- State
- Washington
- Zip
- 98684-8944
- Phone Number
- 360-256-4425
- Fax Number
- 360-256-2474
Provider Business Mailing Address Details
- Address
- 3181 SW Sam Jackson Park RD
OHSU
Portland, OR 97239-3011 - City
- Portland
- State
- OR
- Zip
- 97239-3011
- Phone Number
- 503-494-8220
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- MD61144936
- License State (2)
- WA
- Taxonomy (2)
- Otolaryngology · 207Y00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Jordan J Allensworth?
The NPI number of Jordan J Allensworth is 1912347675. It was assigned on June 26, 2013 and is currently active in the NPPES registry.
What is the specialty of Jordan J Allensworth?
Jordan J Allensworth is registered under the primary taxonomy Otolaryngology (code 207Y00000X), licensed in WA under license number MD61144936.
Where does Jordan J Allensworth practice?
The practice location is 417 SE 164TH Ave Ste 300, Vancouver, WA 98684-8944. The office can be reached at 360-256-4425 (phone) or 360-256-2474 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912347675 directly on the NPPES registry website.